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Competency-based pediatric disaster training

Solomon Behar, MD, Rita Burke, PhD, MPH, Jeffrey Upperman, MD, Alan L. Nager, MD, MHA


Objective: To assess whether participation in a competency-based pediatric disaster educational curriculum increases participants’ knowledge of how to manage pediatric disaster victims.
Design: Pretest/post-test intervention study.
Setting: Large, urban, academic tertiary hospital.
Patients/participants: Three hundred twentysix clinical and nonclinical healthcare employees.
Main outcome measure: Pre-educational and posteducational intervention scores on a 30-item pediatric disaster test.
Results: Participants without prior pediatric disaster training had significant improvements between pre-educational and posteducational intervention test scores (p < 0.0001).
Conclusions: Our competency-based pediatric disaster educational intervention improved the knowledge of most attendees, the majority of whom infrequently care for pediatric patients. This set of pediatric disaster competencies can be used in future formulation of a standardized curriculum.


disaster education, pediatric, training, competency, preparedness

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POP1 Child Population: Number of children (in millions) ages 0- 17 in the United States by age, 1950-2011 and projected 2012-2050. Available at Accessed December 13, 2013.

Aharonson-Daniel L,Waisman Y, Dannon Y, et al.: Epidemiology of terror-related versus non-terror-related traumatic injury in children. Pediatrics. 2003; 112(4): e280-e284.

Waisman Y, Aahronson-Daniel L, Mor M, et al.: The impact of terrorism on children: A two year experience. Prehosp Disaster Med. 2003; 18(3): 242-248.

Gnauck KA, Nufer KE, LaValley JM, et al.: Do pediatric and adult disaster victims differ? A descriptive analysis of clinical encounters from four natural disasters DMAT deployments. Prehosp Disaster Med. 2007; 22(1): 67-71.

Behar SM, Upperman JS, Ramirez M, et al.: Training medical staff for pediatric disaster victims: A comparison of teaching methods. Am J Disaster Med. 2008; 3(4): 189-199.

Ablah E, Tinius AM, Konda K: Pediatric emergency preparedness training: Are we on a path toward national dissemination? J Trauma. 2009; 67(2): S152-S158.

Future of Emergency Care: Emergency Care For Children: Growing Pains. Committee on the Future of Emergency Care in the United States Health System, Board on Health Care Services Institute of Medicine of the National Academies.Washington, DC: The National Academies Press, 2007.

Henderson D, Kaji A, Freeman C: Disaster Pediatric Survey Results and Recommendations. Report submitted to the California Emergency Medical Services Authority, August 31, 2006.

Cicerco MX, Baum CR: Pediatric disaster preparedness: Best planning for the worst-case scenario. Pediatr Emerg Care. 2008; 24: 478-481.

Rassin M, Avraham M, Nasi-Bashari N, et al.: Emergency department staff preparedness for mass casualty events involving children. Disaster Manag Response. 2007; 5(2): 36-44.

Taylor BW,Werbicki JE: Pseudodisaster: A case of mass hysteria involving 19 school children. Pediatr Emerg Care. 1993; 9: 216-217.

Langhan M, Kershavaraz R, Richardson LD: How comfortable are emergency physicians with pediatric patients? J Emerg Med. 2004; 26: 465-469.

Gausche-Hill M, Schmitz C, Lewis RJ: Pediatric Preparedness of U.S. Emergency Departments: A 2003 Survey. Pediatrics. 2007; 120(6): 1229-1237.

Martin SD, Buh AC, Lynch JA: A national survey of terrorism preparedness training among pediatric, family practice, and emergency medicine programs. Pediatrics. 2006; 118(3): e620-e626.

Shirm S, Liggin R, Dick R, et al.: Prehospital preparedness for pediatric mass-casualty events. Pediatrics. 2007; 120; e756-e761.

Thompson T, Lyle K, Mullins SH, et al.: A state survey of emergency department preparedness for the care of children in a mass casualty event. Am J Disaster Med. 2009; 4(4): 227-232.

Gwenn MA, Parillo SJ,Will J, et al.: Principles of disaster planning for the pediatric population. Prehosp Disaster Med. 2007; 6 (22): 537-540.

AAP Policy Statement: Disaster planning for schools. Pediatrics. 2008; 122(4): 895-901.

Graham J, Shirm S, Liggin R, et al.: Mass-casualty events at schools: A national preparedness survey. Pediatrics. 2006; 1(117): e8-e15.

Burke RV, Iverson EI, Goodhue CJ, et al.: Disaster and mass casualty events in the pediatric population. Semin Pediatr Surg. 2010; 19: 4265-4270.

Tegtmeyer K, Conway EE, Upperman JS, et al.: Education in a pediatric mass critical care setting. Pediatr Crit Care Med. 2011; 12(6 suppl): s135-s140.

Choksi N, Behar SM, Nager AL, et al.: Disaster management among pediatric surgeons: Preparedness, training and involvement. Am J Disaster Med. 2008; 3(1): 5-14.

Siegel D, Strauss-Riggs K, Costello A: Pediatric Disaster Preparedness Curriculum Development: Conference Report. Rockville, MD: National Center for Disaster Medicine and Public Health, 2011.

Hein K: The competency of competencies. Prehosp Disaster Med. 2010; 25(5): 396-397.

Stefl ME: Common competencies for all health care managers:The Healthcare Alliance Model. J Health Manag. 2005; 50(1): 360-374.

Walsh L, Subbarao I, Gebbie K, et al.: Core competencies for disaster medicine and public health. Disaster Med Public Health Prep. 2012; 6: 44-52.

Burke RV, Goodhue CJ, Chokshi NK: Factors associated with a willingness to respond to a disaster: A study of healthcare workers in a tertiary setting. Prehosp Disaster Med. 2011; 26(4): 244-250.

National Commission on Children and Disasters: 2010 Report to the President and Congress. AHRQ Publication No. 10-M037. Rockville, MD: Agency for Healthcare Research and Quality, October 2010.

Austin EN, Hannafin NM, Nelson HW: Pediatric disaster simulation in graduate and undergraduate nursing education. J Pediatr Nurs. 2013; 28(4): 393-399.

Cicero MX, Auerbach MA, Zigmont J, et al.: Simulation training with structured debriefing improves residents’ pediatric disaster triage performance. Prehosp Disaster Med. 2012; 27(3): 239-244.

Gillett B, Peckler B, Sinert R, et al.: Simulation in a disaster drill: comparison of high-fidelity simulators versus trained actors. Acad Emerg Med. 2008; 15: 1144-1151.

Wilkerson W, Avstreih D, Gruppen L, et al.: Using immersive simulation for training first responders for mass casualty incidents. Acad Emerg Med. 2008; 15: 1152-1159.

Vincent DS, Sherstyuk A, Burgess L, et al.: Teaching mass casualty triage skills using immersive three-dimensional virtual reality. Acad Emerg Med. 2008; 15: 1160-1165.



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